Tex. Spec. Dist. Local Laws Code Section 1085.0585
Employment of Physicians


(a)

The board may employ physicians as the board considers necessary for the efficient operation of the district.

(b)

The board shall adopt and maintain policies to ensure that a physician employed under this section exercises independent medical judgment when providing care to patients at a district facility. The policies adopted under this subsection must include policies relating to:

(1)

credentialing;

(2)

quality assurance;

(3)

utilization review;

(4)

peer review;

(5)

medical decision-making; and

(6)

due process.

(c)

A physician employed by the district under this section is subject to the same standards and procedures regarding credentialing, peer review, quality of care, and privileges as a physician not employed by the district.

(d)

The district shall give equal consideration regarding the issuance of credentials and privileges to physicians employed by the district and physicians not employed by the district.

(e)

A physician employed by the district shall retain independent medical judgment in providing care to patients at a facility operated by the district and may not be penalized for reasonably advocating for patient care.

(f)

The board shall appoint a chief medical officer for the district who must be a physician. For all matters relating to the practice of medicine, each physician employed by the district shall ultimately report to the chief medical officer of the district. The chief medical officer shall notify the Texas Medical Board that the district is employing physicians under this section and that the chief medical officer is the district’s designated contact with the Texas Medical Board. The chief medical officer shall immediately report to the Texas Medical Board any action or event that the chief medical officer reasonably and in good faith believes constitutes a compromise of the independent medical judgment of a physician in caring for a patient.

(g)

This section may not be construed as altering, voiding, or prohibiting any relationship between a district and a physician, including a contract or arrangement with an approved nonprofit health corporation that is certified under Section 162.001 (Certification by Board)(b), Occupations Code, and that holds a certificate of authority issued under Chapter 844 (Certification of Certain Nonprofit Health Corporations), Insurance Code.

(h)

A contract to employ a physician under this section may not include a covenant not to compete on termination of the contract.

(i)

This section may not be construed to authorize the board to supervise or control the practice of medicine, as prohibited by Subtitle B, Title 3, Occupations Code.
Added by Acts 2019, 86th Leg., R.S., Ch. 494 (H.B. 4663), Sec. 1, eff. September 1, 2019.

Source: Section 1085.0585 — Employment of Physicians, https://statutes.­capitol.­texas.­gov/Docs/SD/htm/SD.­1085.­htm#1085.­0585 (accessed Jun. 5, 2024).

1085.001
Definitions
1085.002
Authority for Creation
1085.003
Essential Public Function
1085.004
District Territory
1085.005
District Support and Maintenance Not State Obligation
1085.006
Restriction on State Financial Assistance
1085.051
Board Election
1085.052
Notice of Election
1085.053
Ballot Petition
1085.054
Board Vacancy
1085.055
Officers
1085.056
District Administrator
1085.057
General Duties of District Administrator
1085.058
Appointment of Staff and Employees
1085.059
Retirement Program
1085.060
Legal Counsel
1085.101
District Responsibility
1085.102
Restriction on Political Subdivision Taxation and Debt
1085.103
Management, Control, and Administration
1085.104
Hospital System
1085.105
Rules
1085.106
Purchasing and Accounting Procedures
1085.107
District Property, Facilities, and Equipment
1085.108
Eminent Domain
1085.109
Gifts and Endowments
1085.110
Contracts with Governmental Entities for Care and Treatment
1085.111
Payment for Treatment
1085.151
Budget
1085.152
Notice
1085.153
Amendments to Budget
1085.154
Restriction on Expenditures
1085.155
Fiscal Year
1085.156
Audit
1085.157
Financial Report
1085.158
Depository
1085.159
Authority to Borrow Money
1085.201
General Obligation Bonds
1085.202
Tax to Pay General Obligation Bonds
1085.203
General Obligation Bond Election
1085.204
Execution of General Obligation Bonds
1085.205
Refunding Bonds
1085.206
Bonds Exempt from Taxation
1085.251
Imposition of Ad Valorem Tax
1085.252
Tax Rate
1085.253
Election to Increase Maximum Tax Rate
1085.254
Tax Assessor-collector
1085.301
Definition: Taxable Item
1085.302
Sales and Use Tax Authorized
1085.303
Sales Tax
1085.304
Use Tax
1085.305
Consideration of Tax Rate
1085.306
Applicability of Tax Code
1085.307
Repeal of Tax
1085.0585
Employment of Physicians

Accessed:
Jun. 5, 2024

§ 1085.0585’s source at texas​.gov